Provider Demographics
NPI:1235713702
Name:DRABBLE, WESTLEY JAMES (NP-C)
Entity Type:Individual
Prefix:
First Name:WESTLEY
Middle Name:JAMES
Last Name:DRABBLE
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:774 OLD COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-1167
Mailing Address - Country:US
Mailing Address - Phone:774-264-1774
Mailing Address - Fax:
Practice Address - Street 1:774 OLD COUNTY RD
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:MA
Practice Address - Zip Code:02790-1167
Practice Address - Country:US
Practice Address - Phone:774-264-1774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2309051363LF0000X
RIAPRN02835363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily